PSYCH Pathology Flashcards
what are the 7 characteristics (of which 3 must be met) of manic episode in bipolar disorder
Inflated self esteem or grandiosity
Decreased need for sleep
More talkative or pressured
Flight of ideas/subjective racing thoughts
Distractibility
Increased goal directed activity (more energy)
Excessive involvement in pleasurable activities
what is the difference b/w hypomanic and manic episode
Hypomanic:
Persistently elevated, expansive, or irritable mood, for at least 4 days.
Accompanied by 3 or more manic symptoms but….
Does not markedly impair social/occupational functioning.
No hospitalization needed
No psychotic features
manic episode
- affects job/society/relationships
- hospitalization
- a week to months long
- can have psychosis
what is the difference b/w hypomanic and manic episode
Hypomanic:
Persistently elevated, expansive, or irritable mood, for at least 4 days.
Accompanied by 3 or more manic symptoms but….
Does not markedly impair social/occupational functioning.
No hospitalization needed
No psychotic features
manic episode
- affects job/society/relationships
- hospitalization
- a week to months long
- can have psychosis
bipolar disorder I is characterized by what
history of at least 1 manic or mixed episode
The diagnosis is then specified as to what was the most recent episode: manic, depressed, hypomanic.
Inter-episode functioning often good to excellent
MC is 3 depressed episodes for every manic/mixed episode
bipolar disorder II is characterized by what
hypomanic episodes and major depressive episodes
no manic episodes
what is cyclothymic disorder
chronic, fluctuating disturbance b/w periods of hypomanic symptoms and periods of some depressive symptoms
minimum course of 2 years
no episodes of mania, hypomania or major depressive episodes
30% have fam history
1/3 will ultimately have MDD or BAD
60% respond to Lithium
how do you specify bipolar disorder. what features?
Severity
Mild
Mod
Severe
With or Without psychotic features
Mood congruent, or incongruent
With mixed features
With peripartum onset
With catatonia- not moving
with anxious distress
longitudinal course specifiers
With or without inter-episode recovery
With rapid cycling
With seasonal pattern
differential diagnosis of dementia
Stimulants
Amphetamine, PCP, Cocaine
Antidepressants
Exogenous Steroids
HRT, Testosterone, PEDs
Endogenous Endocrine Disorders
Hyperthyroidism, Pheochromocytoma
Neurologic
Fronto-Temporal Dementia, ICM
Other psychiatric disorders
Schizophrenia, ADHD, BPD, Agitated MDE
a mood disorder in a first degree relative poses what risk on pt
Mood d/o in 1 parent gives 10-25% risk in patient
Bipolar fam hx increases risk of MDD and BAD
Bipolar risk is more greatly elevated
MDD will still be more prevalent as more common
Mood stabilizers used in mania
lithium
valproate
carbamazepine
mood stabilizers used in maintenance
Lamotrigine
cluster A personality disorder
odd eccentric
includes paranoid, schizoid and schizotypal
